IDAHO CLEFT AND CRANIOFACIAL PEDIATRIC PLASTIC SURGERY, P.A.

BOISE, ID
NPI1184899973
Former Legal Business NameRUSSELL H GRIFFITHS, MDPA
Entity TypeOrganization
Authorized ContactRUSSELL H GRIFFITHS
President
208-433-1736
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: ID  M7454)
Enumeration Date2008-04-23
Last Update Date2023-05-08
Business Address
IDAHO CLEFT AND CRANIOFACIAL PEDIATRIC PLASTIC SURGERY, P.A.
100 E IDAHO STREET, SUITE 303
BOISE, ID 83712-6269
Phone number: 208-433-1736
Mailing Address
IDAHO CLEFT AND CRANIOFACIAL PEDIATRIC PLASTIC SURGERY, P.A.
100 E IDAHO STREET, SUITE 303
BOISE, ID 83712-6269
Phone number: 208-433-1736